Last updated: 10 February 2026
"Enough staff, good training and a supportive team, but managers' checks miss safety risks and activities lack structure."
When additional medicines had been prescribed, handwritten entries had not been signed by two members of staff to confirm the entry was in accordance with the prescriber's instructions. Free standing wardrobes had not been secured to the wall to prevent them toppling onto people and there were no risk assessments in place.
A member of staff said, 'I have regular supervisions and feel supported. We have a good team who support each other.'
There were enough staff on duty to meet people's needs and help keep them safe.
Staff were positive about their on-going training and there were systems in place to ensure they received refresher training when due. A member of staff told us, 'The training is good. I get everything I need.'
Systems to monitor and improve the quality and safety of the service provided were not always effective in identifying risks or areas for improvement. For example, checks and audits had not identified the issues we found relating to the recording of medicines and risks associated with free standing wardrobes.
People told us they regularly accessed the community and took part in activities and social events they enjoyed. One person said, 'We go out a lot to the theatre, shops and the pub.'
Managers checks missed issues like medication records and unsecured wardrobes, so problems are not spotted early enough.
Audits and checks had not identified the shortfalls we found at this inspection.
Just basic outings to shops, theatre and pub with no activities coordinator or structured programme to vary the work.
People told us they regularly accessed the community and took part in activities and social events they enjoyed. One person said, 'We go out a lot to the theatre, shops and the pub.'
Medication records not always signed off by two staff and some risks like unsecured wardrobes not assessed.
Handwritten entries had not been signed by two members of staff to confirm the entry was in accordance with the prescriber's instructions. Free standing wardrobes had not been secured to the wall.
AI Generated
Last inspected: November 2023
Management Quality
Well-led: Requires improvement
Direct feedback from current and former employees

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